An Enlarging Plaque

What figures into your differential of a slowly enlarging asymptomatic plaque, like the one on this child's hand?

A 5-year-old girl presents with an asymptomatic, slowly enlarging plaque on her hand with a slightly depressed hyperpigmented central portion and a distinct rim.

What does this look like to you?

A. Lichen planus
B. Erythema annulare centrifugum
C. Granuloma annulare
D. Necrobiosis lipoidica
© 2023 MJH Life Sciences

All rights reserved.